2024
Fostering just culture in high reliability organizations: How far have we come?
Murray, J.S., Larson, S., Lee, J, Merchant, N., & Clifford (in press). Fostering just culture in high reliability organizations: How far have we come? In C.A. Oster & J.S. Braaten (Eds). High reliability organizations – A healthcare handbook for patient safety & quality (3rd Ed). Sigma Theta Tau InternationalChapters
2023
Serial serum lipase testing after the initial diagnostic workup for inpatients with acute pancreatitis: What is the evidence?
Magier S, Muniraj T, Merchant N. Serial serum lipase testing after the initial diagnostic workup for inpatients with acute pancreatitis: What is the evidence? Cleveland Clinic Journal Of Medicine 2023, 90: 341-343. PMID: 37263664, DOI: 10.3949/ccjm.90a.22060.Peer-Reviewed Original ResearchBuilding Resident Quality Improvement Knowledge and Engagement Through a Longitudinal, Mentored, and Experiential Learning-Based Quality Improvement Curriculum
Xiang J, Magier S, Gruen J, Welch M, Bilan V, Rodwin B, Norcott A, Merchant N. Building Resident Quality Improvement Knowledge and Engagement Through a Longitudinal, Mentored, and Experiential Learning-Based Quality Improvement Curriculum. MedEdPORTAL 2023, 19: 11310. PMID: 37081972, PMCID: PMC10110773, DOI: 10.15766/mep_2374-8265.11310.Peer-Reviewed Original ResearchConceptsQI curriculumQuality Improvement Knowledge Application ToolAdult learning theoryQuality improvement curriculumRecent academic yearQI projectQuality improvement knowledgeResident medical educationACGME core competenciesSuccessful educational initiativeQuality improvement trainingExperiential learningChief residentsImprovement curriculumQI educationAcademic yearQI knowledgeFaculty mentorsMedical educationQI skillsInternal medicine residentsCurriculumLearning theoryEducational initiativesQI conceptsProviding Structured Real-Time Feedback on Postdischarge Outcomes Using Electronic Health Record Data
Zegarek M, Holleck J, Merchant N, Windish D, Hay S. Providing Structured Real-Time Feedback on Postdischarge Outcomes Using Electronic Health Record Data. Southern Medical Journal 2023, 116: 305-311. PMID: 36863053, DOI: 10.14423/smj.0000000000001522.Peer-Reviewed Original ResearchConceptsPostdischarge outcomesTransitions of carePoor patient outcomesInternal medicine residentsPatient outcomesInpatient rotationsMedicine residentsElectronic health record dataTime of dischargeHealth record dataElectronic health recordsDischarge planningFuture practiceFree-text responsesPostintervention surveysHealth recordsRecord dataOutcomesAdditional staffPatientsMedical student participantsHospitalisations for heart failure: increased palliative care referrals − a veterans affairs hospital initiative
Gruen J, Gandhi P, Gillespie-Heyman S, Shamas T, Adelman S, Ruskin A, Bauer M, Merchant N. Hospitalisations for heart failure: increased palliative care referrals − a veterans affairs hospital initiative. BMJ Supportive & Palliative Care 2023, 14: e1309-e1316. PMID: 36609533, DOI: 10.1136/spcare-2022-004118.Peer-Reviewed Original ResearchHeart failurePalliative careHF admissionsMedian B-type natriuretic peptideB-type natriuretic peptidePalliative care referralCare educationVeterans Affairs hospitalPercentage of referralsStudy-Act cyclesQuality of lifeMultiple PDSA cyclesPg/mLPC consultHF managementHF patientsBaseline medianCare referralHospital InitiativeReferral guidelinesSignificant morbidityNatriuretic peptideMean ageNew referralsReferral criteriaPromoting "Just Culture" Among Health Profession Leaners In The Clinical Environment
Education in the Health Professions, 6(2), 80-83. https://doi.org/1 0.4103/ehp.ehp_6_23Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsDevelopment of a Safety Awards Program at a Veterans Affairs Health Care System: A Quality Improvement Initiative
Merchant N. Development of a Safety Awards Program at a Veterans Affairs Health Care System: A Quality Improvement Initiative. Journal Of Clinical Outcomes Management 2023, 30 DOI: 10.12788/jcom.0120.Peer-Reviewed Original Research
2022
Finding your niche as a generalist: From concept to action
Maleque N, Hartigan S, Merchant N. Finding your niche as a generalist: From concept to action. Journal Of Hospital Medicine 2022, 18: 270-273. PMID: 36564957, DOI: 10.1002/jhm.13034.Peer-Reviewed Original ResearchA Multidisciplinary Quality Improvement Project to Improve Appropriate Inherited Thrombophilia Testing at VA Connecticut
Xiang J, Dosani T, Hauser R, Cosentino D, Merchant N, Rose M. A Multidisciplinary Quality Improvement Project to Improve Appropriate Inherited Thrombophilia Testing at VA Connecticut. Blood 2022, 140: 7864-7865. DOI: 10.1182/blood-2022-168044.Peer-Reviewed Original ResearchA High-reliability Organization Mindset.
Merchant NB, O'Neal J, Dealino-Perez C, Xiang J, Montoya A, Murray JS. A High-reliability Organization Mindset. American Journal Of Medical Quality 2022, 37: 504-510. PMID: 36201470, DOI: 10.1097/jmq.0000000000000086.Peer-Reviewed Original ResearchUtilization of an Internal Medicine Triaging Resident in the Emergency Department Reduces Preventable Admissions and Improves Trainee Experiences
Saffo S, Rodwin B, Dalton R, Tarabar A, Merchant N. Utilization of an Internal Medicine Triaging Resident in the Emergency Department Reduces Preventable Admissions and Improves Trainee Experiences. Southern Medical Journal 2022, 115: 707-711. PMID: 36055659, DOI: 10.14423/smj.0000000000001434.Peer-Reviewed Original ResearchConceptsTransitions of careEmergency departmentHospital utilizationPreventable admissionsSingle-center pilot studyPatient safetyInitial patient managementIM traineesPatient care requirementsVeterans Affairs hospitalInternal medicine serviceGraduate Medical EducationIntegrated health systemInitial managementMedical admissionsED physiciansMedical patientsInpatient providersInpatient settingPatient managementTrainee experienceMedicine serviceCare requirementsED performance metricsSuboptimal communicationRoom of Hazards: A Comparison of Differences in Safety Hazard Recognition Among Various Hospital-Based Healthcare Professionals and Trainees in a Simulated Patient Room
Wang M, Banda B, Rodwin BA, Merchant NB. Room of Hazards: A Comparison of Differences in Safety Hazard Recognition Among Various Hospital-Based Healthcare Professionals and Trainees in a Simulated Patient Room. Journal Of Patient Safety 2022, 18: 624-629. PMID: 35587392, DOI: 10.1097/pts.0000000000001043.Peer-Reviewed Original ResearchConceptsHospital-based healthcare professionalsPatient roomsHealthcare professionalsAdverse eventsHealthcare workersStaff membersHealthcare membersPatient harmNursesPhysiciansSafety hazards identificationComparison of differencesFuture studiesNonparametric statistical analysisTrainees' skillsMore hazardsHazard identificationParticipantsPrevious studiesStatistical analysisProfessionalsDifferent professionsHospitalDifferencesStudyThe underappreciated role of documentation in improving COPD care
Ehteshami-Afshar S, Merchant N. The underappreciated role of documentation in improving COPD care. Cleveland Clinic Journal Of Medicine 2022, 89: 249-251. PMID: 35500929, DOI: 10.3949/ccjm.89a.21044.Peer-Reviewed Original ResearchSa1009: IMPROVING COLORECTAL CANCER SCREENING USING FECAL IMMUNOCHEMICAL TESTING IN A FEDERALLY QUALIFIED HEALTH CENTER: A QUALITY IMPROVEMENT STUDY
Magier S, Soliman A, Ochoa-Allemant P, Merchant N, Pensa M. Sa1009: IMPROVING COLORECTAL CANCER SCREENING USING FECAL IMMUNOCHEMICAL TESTING IN A FEDERALLY QUALIFIED HEALTH CENTER: A QUALITY IMPROVEMENT STUDY. Gastroenterology 2022, 162: s-283. DOI: 10.1016/s0016-5085(22)60670-x.Peer-Reviewed Original ResearchCreating a Process for the Implementation of Tiered Huddles in a Veterans Affairs Medical Center
Merchant NB, O'Neal J, Montoya A, Cox GR, Murray JS. Creating a Process for the Implementation of Tiered Huddles in a Veterans Affairs Medical Center. Military Medicine 2022, 188: usac073. PMID: 35312000, PMCID: PMC9383570, DOI: 10.1093/milmed/usac073.Peer-Reviewed Original ResearchConceptsHealth AdministrationPatient careVeterans Affairs Medical CenterVeterans Health AdministrationHealthcare systemNon-clinical staffHigh-quality patient careQuality patient careCare coordinationFrontline staffMedical CenterLack of responsivenessPatient safetySubsequent outcomesHealthcare organizationsShift hoursTimely identificationCoronavirus testingStaffing levelsEquipment concernsCurrent literatureHealthcare institutionsCarePilot testingPilot serviceImproving Adherence to Risk Stratification Guidelines Regarding Venous Thromboembolism Prophylaxis
Holleck JL, Jalbut MM, Rodwin BA, Chang JJ, Holleck ME, Merchant N. Improving Adherence to Risk Stratification Guidelines Regarding Venous Thromboembolism Prophylaxis. The Joint Commission Journal On Quality And Patient Safety 2022, 48: 301-303. PMID: 35489805, DOI: 10.1016/j.jcjq.2022.02.004.Peer-Reviewed Original Research
2021
Tylenol or acetaminophen: a recurrent fixed drug eruption perpetuated through the use of inconsistent drug terminology
Federman D, Gruen JA, Merchant N. Tylenol or acetaminophen: a recurrent fixed drug eruption perpetuated through the use of inconsistent drug terminology. BMJ Case Reports 2021, 14: e241908. PMID: 34344644, PMCID: PMC8336122, DOI: 10.1136/bcr-2021-241908.Peer-Reviewed Case Reports and Technical NotesImproving the Quality of Inpatient Discharge Instructions: An Evaluation and Implementation of Best Practices
Rodwin BA, Bilan VP, Gunderson CG, Merchant NB. Improving the Quality of Inpatient Discharge Instructions: An Evaluation and Implementation of Best Practices. Southern Medical Journal 2021, 114: 445-449. PMID: 34345921, DOI: 10.14423/smj.0000000000001284.Peer-Reviewed Original ResearchImproving safety through partnering with patients. Preoccupation with failure
Merchant N, Murray J, O’Neal J, Montoya A. Improving safety through partnering with patients. Preoccupation with failure. Patient Safety Journal, 2021. https://patientsafetyj.com/index.php/patientsaf/article/view/high-reliability-vaPeer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements
2020
From Bench to Every Bedside: Improving the Adoption of Evidence-Based Practices.
Rodwin BA, Merchant NB. From Bench to Every Bedside: Improving the Adoption of Evidence-Based Practices. Southern Medical Journal 2020, 113: 538-540. PMID: 33140105, DOI: 10.14423/smj.0000000000001163.Peer-Reviewed Original Research